19/06/2026
Our Public Interest report issued today has found that a series of failures in medication prescribing and checking, and poor communication between medical and pharmacy teams, led to a patient being mistakenly issued with morphine sulphate on discharge from hospital.
We made a number of recommendations, which Betsi Cadwaladr University Health Board accepted.
You can find the full report here: https://bit.ly/4vvaCcL.